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<br />APPLICATION I'OR PEmaT <br />CITY 01' ZBPHYRBILLS <br />BUI:LDIHG DEPAR'l'YENT <br /> <br />{o/ri /0' 0 <br />DATE RECEIVED , <br />PLANS REVIEW i'EE <br /> <br />OWNER'S NAME '~WI tVlC:;:::;N <br />JOB ADDRESS ::A (/sr LAvE <br />.. <br /> <br />PHONE <br /> <br />102 - / u0~ <br /> <br />~\ <br /> <br />~75S/ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # 3L/--2- 5" - 2-1 - 00 I 0- (01 JI:9D ~ 08'10 <br /> <br />SUBDIVISION &/2NJ./J /-Ioel2oN <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ALT ERAT I ON 0 REPAIR ~TALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />~HER /J}jJfI.( WiJrv1. <br /> <br />CJ RESTAURANT 6< HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK 1l.f11\l$THI.<... A..W/J1 ; pJ/.//Yl w/)/'J( It/bvl::j'5P, <br /> <br />c/hl.P()I1-T , 1/(1.1'1(, IlbfJll/l / U 1-1 L- I '{ i.j R..c&~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />fclo~ <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS 6< (2) SETS OF BUILDING PLANS 6< (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS 6< (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />[d'13UILDING <br />~ECTRICAL <br /> <br />$ /o,1'7{,fo <br />, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W. R. E. C. WI (lIi 5H16t? <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />~ 4- t41uP <br /> <br />COMPANY B f {-I- CON'Gi/ZtJc.rlorJ of-=- (&\lr/Zl4L j::L- <br />STATE CERT OR REGIST # We 0 ~r;7 t?'z- <br />CITY PROCESSING # ~ <br /> <br />BUI:LDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY fkE ~Ec rrl..(C <br />STATE CERT OR REGIST # <br />CITY PROCESSING # /;7 <br /> <br />****************************************************************** <br /> <br />~ <br /> <br />(j. <br /> <br />~ <br /> <br />ELECTRICIAN <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**********~******************************************************* <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />**************************************************************~** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />***************************************************************** <br />